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Date Published: 27/06/2023
Abstract Views: 129
Views PDF: 92
DOI: https://doi.org/10.51298/vmj.v527i1B.5801
Issue
Vol. 527 No. 1B (2023)
Section
Các bài báo
How to Cite
Đồng, N. Q., Lại, B. N., Lê, N. T., & Nguyễn, Q. R. (2023). VIRTUAL SURGICAL PLANNING TECHNIQUE WITH OPEN-SOURCE SOFTWARE FOR MANDIBULAR FIBULA FREE FLAP RECONSTRUCTION. Vietnam Medical Journal, 527(1B). https://doi.org/10.51298/vmj.v527i1B.5801

VIRTUAL SURGICAL PLANNING TECHNIQUE WITH OPEN-SOURCE SOFTWARE FOR MANDIBULAR FIBULA FREE FLAP RECONSTRUCTION

Ngọc Quang Đồng1, Bình Nguyên Lại1, Ngọc Tuyến Lê1, Quang Rực Nguyễn1,
1 Hanoi Central Odonto-Stomatology Hospital

Main Article Content

Abstract

Backgrounds: Virtual surgical planning in mandibular reconstruction by free fibula flap helps to save operation time, improve the accuracy, and improve the aesthetic and functional outcomes. While professional software are expensive, open-source software are functional, reliable, and may be freely downloaded. We described an open-source software 3D surgical modelling protocol to perform a fast and low-cost mandibular reconstruction with free fibula flap, with no need for engineering support. Procedure: Three successive open-source software were used to perform our 3D modelling: ITK-SNAP®, Meshlab®, and Blender®. Digital Imaging and Communications in Medicine (DICOM) data obtained from computerised tomography of patient’s mandible and fibula were needed. The 3D modellling of the constructed and its surgical guides were created and 3D-printed for intraoperative using. Conclusion: This protocol may improve surgical management in maxillofacial surgery in developing regions where expensive professional software are unavailable.

Article Details

Keywords

free fibula flap, virtual surgical planning, open-source software

References

1. Antony AK, Chen WF, Kolokythas A, Weimer KA, Cohen MN. Use of virtual surgery and stereolithography-guided osteotomy for mandibular reconstruction with the free fibula. Plast Reconstr Surg. 2011;128(5):1080-1084.
2. Hou JS, Chen M, Pan CB, et al. Application of CAD/CAM-assisted technique with surgical treatment in reconstruction of the mandible. J Cranio-Maxillo-fac Surg Off Publ Eur Assoc Cranio-Maxillo-fac Surg. 2012;40(8):e432-437.
3. Li WZ, Zhang MC, Li SP, Zhang LT, Huang Y. Application of computer-aided three-dimensional skull model with rapid prototyping technique in repair of zygomatico-orbito-maxillary complex fracture. Int J Med Robot Comput Assist Surg MRCAS. 2009;5(2):158-163.
4. Moro A, Cannas R, Boniello R, Gasparini G, Pelo S. Techniques on modeling the vascularized free fibula flap in mandibular reconstruction. J Craniofac Surg. 2009;20(5):1571-1573.
5. Stirling Craig E, Yuhasz M, Shah A, et al. Simulated surgery and cutting guides enhance spatial positioning in free fibular mandibular reconstruction. Microsurgery. 2015;35(1):29-33.
6. Metzler P, Geiger EJ, Alcon A, Ma X, Steinbacher DM. Three-dimensional virtual surgery accuracy for free fibula mandibular reconstruction: planned versus actual results. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2014;72(12):2601-2612.
7. Rodby KA, Turin S, Jacobs RJ, et al. Advances in oncologic head and neck reconstruction: systematic review and future considerations of virtual surgical planning and computer aided design/computer aided modeling. J Plast Reconstr Aesthetic Surg JPRAS. 2014;67(9):1171-1185.
8. Ganry L, Hersant B, Quilichini J, Leyder P, Meningaud JP. Use of the 3D surgical modelling technique with open-source software for mandibular fibula free flap reconstruction and its surgical guides. J Stomatol Oral Maxillofac Surg. 2017;118(3):197-202.